MEDICARE: TRADELINE SH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0004X	Compounding Pharmacy
3	3336L0003X	Long Term Care Pharmacy
4	3336C0003X	Community/Retail Pharmacy	PH29105	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2151298	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659767515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRADELINE SH INC

Provider Business Mailing Address
First Line	:	7543 W WATERS AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1511
Country	:	US
Telephone Number	:	813-886-2800
Fax Number	:	813-886-2822

Provider Business Practice Location Address
First Line	:	7543 W WATERS AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1511
Country	:	US
Telephone Number	:	813-886-2800
Fax Number	:	813-886-2822

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	RAAFAT HABIB
Credential	:
Telephone Number	:	248-631-6565

Provider Enumeration Date	:	04/07/2015
Last Update Date	:	08/18/2020

Similar Medicare Providers

1306474010 — JORGE ENRIQUE CASTILLO MOLINA
Practice Location Address:

7555 W WATERS AVE
TAMPA, FL
33615-1511

Practice Phone: 855-226-6633
Practice Fax:

1184211955 — JESSICA MARIE ROSADO
Practice Location Address:

7555 W WATERS AVE
TAMPA, FL
33615-1511

Practice Phone: 855-226-6633
Practice Fax:

1437739844 — MARY GERGES RPH
Practice Location Address:

7543 W WATERS AVE
TAMPA, FL
33615-1511

Practice Phone: 813-886-2800
Practice Fax:

1477207447 — TRADELINE SH INC
Practice Location Address:

7543 W WATERS AVE
TAMPA, FL
33615-1511

Practice Phone: 813-886-2800
Practice Fax:

1447905625 — ANDRES MISAEL PEREZ PECORA
Practice Location Address:

7555 W WATERS AVE
TAMPA, FL
33615-1511

Practice Phone: 954-432-0578
Practice Fax:

1073244034 — JUAN ANTONIO GAYTAN APRN FNP
Practice Location Address:

7555 W WATERS AVE
TAMPA, FL
33615-1511

Practice Phone: 855-226-6633
Practice Fax:

Directions to “TRADELINE SH INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.